Stenting for Acute Aortic Dissection with Malperfusion as "Bridge Therapy"

作者：Fujita Wakako^*; Taniguchi Satoshi; Daitoku Kazuyuki; Fukuda Ikuo

来源：Texas Heart Institute Journal, 2010, 37(6): 691-694.

• Aneurysm, dissecting/complications
• aortic aneurysm/complications
• aortic aneurysm, abdominal
• aortic aneurysm, thoracic
• arterial occlusive diseases/etiology
• emergency treatment
• ischemia/etiology/therapy
• leg/blood supply
• stents, bare metal
• tomography, X-ray computed

The most common treatment of acute type A aortic dissection is immediate surgical repair However, early surgery for acute dissections with peripheral vascular compromise carries a high mortality rate. Herein, we report a case in which we placed percutaneous endovascular stents in a type A dissection patient before proceeding with proximal aortic repair. Bare-metal stents were placed into the obliterated true channel of the abdominal aorta and the left external iliac artery Endovascular stenting immediately relieved the lower-left-extremity ischemic symptoms, and the patient underwent hemi-arch replacement 7 days after the procedure. Stent placement for patients who have acute aortic dissection with malperfusion can be used as "bridge therapy" (Tex Heart Inst J 2010;37(6):691-4)

• 出版日期2010-12